Shankar Kumar, Isabelle De Kock, William Blad, Richard Hare, Richard Pollok, Stuart A Taylor
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引用次数: 0
摘要
磁共振肠造影术(MRE)和肠道超声波检查(IUS)在过去几十年中发展迅速,已成为诊断和监测克罗恩病(CD)的主要非侵入性方法。在这篇综述中,我们评估了有关 MRE 和 IUS 在 CD 中应用的相关数据。我们总结了 CD 活动的主要成像特征,强调了它们在临床和研究环境中日益重要的作用,并讨论了这些模式在诊断过程中的适应性。我们还讨论了如何使用这些方法评估疾病活动性和治疗反应性,包括用于标准化报告的活动性评分的出现。此外,我们还讨论了存在争议的领域,如造影剂的使用、弥散加权成像的作用,并讨论了护理点超声。我们还重点介绍了令人振奋的新进展,包括人工智能的应用。最后,我们对未来的研究重点提出了建议。
Magnetic Resonance Enterography and Intestinal Ultrasound for the Assessment and Monitoring of Crohn's Disease.
Magnetic resonance enterography [MRE] and intestinal ultrasound [IUS] have developed rapidly in the past few decades, emerging as the primary non-invasive options for both diagnosing and monitoring Crohn's disease [CD]. In this review, we evaluate the pertinent data relating to the use of MRE and IUS in CD. We summarise the key imaging features of CD activity, highlight their increasing role in both the clinical and the research settings, and discuss how these modalities fit within the diagnostic pathway. We discuss how they can be used to assess disease activity and treatment responsiveness, including the emergence of activity scores for standardised reporting. Additionally, we address areas of controversy such as the use of contrast agents, the role of diffusion-weighted imaging, and point-of-care ultrasound. We also highlight exciting new developments, including the applications of artificial intelligence. Finally, we provide suggestions for future research priorities.